两种不同皮瓣用于皮肤缺损型断指再植修复的效果及对手指功能恢复的影响
The effect of two different skin flaps on replantation repair of skin defect type severed fingers and their impact on finger function recovery
贾武林 1殷钰涵 1赵庆国1
作者信息
- 1. 江南大学附属医院创伤外科,无锡 214000
- 折叠
摘要
目的 探究指侧方皮瓣和微型游离静脉皮瓣用于皮肤缺损型断指再植修复的效果以及对手指功能恢复的影响.方法 回顾性选取2020年1月至2022年9月江南大学附属医院收治的94例(94指)皮肤缺损型断指患者的临床资料.根据皮瓣设计方式的不同分为观察组(微型游离静脉皮瓣)48例,对照组(指侧方皮瓣)46例.对比两组修复效果和血液循环情况,手指功能恢复和并发症发生情况.结果 术后2个月,观察组的修复总有效率[79.17％(38/48)]与对照组的修复总有效率[76.09％(35/46)]比较,差异无统计学意义(P＞0.05).观察组的血流速度、皮肤温度及皮肤红润比例高于对照组,毛细血管充盈时间短于对照组,差异均有统计学意义(均P＜0.05).两组关节自主活动度和日常生活活动及恢复情况评分比较,差异无统计学意义(均P＞0.05).观察组的主观感觉和外观评分低于对照组,差异均有统计学意义(均P＜0.05).观察组并发症发生率为10.42％(5/48),与对照组并发症发生率[13.04％(6/46)]比较,差异无统计学意义(P＞0.05).结论 对于存在皮肤缺损的断指患者来说,指侧方皮瓣和微型游离静脉皮瓣是再植的有效方法,临床上可根据患者实际情况灵活选择合理的皮瓣修复方式.
Abstract
Objective To explore the effects of lateral finger flap and micro free venous flap on the replantation repair of skin defect type severed fingers and their impact on finger function recovery.Methods A retrospective selection was conducted on the clinical data of 94 patients(94 fingers)with skin defect type finger amputation admitted to Affiliated Hospital of Jiangnan University from January 2020 to September 2022.According to the different design methods of the skin flap,there were 48 cases in the observation group(micro free venous flap)and 46 cases in the control group(finger side flap).We compared the repair effects,blood circulation,finger function recovery,and complications between two groups.Results Two months after surgery,there was no statistically significant difference(P＞0.05)in the total effective rate of repair between the observation group[79.17％(38/48)]and the control group[76.09％(35/46)].The blood flow velocity,skin temperature,and skin redness ratio of the observation group were higher than those of the control group,and the capillary filling time was shorter than that of the control group,with statistical significance(all P＜0.05).There was no statistically significant difference(all P＞0.05)in the scores of joint autonomy,daily living activities,and recovery between the two groups.The subjective sensation and appearance scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P＜0.05).The incidence of complications in the observation group was 10.42％(5/48),and there was no statistically significant difference(P＞0.05)compared to the incidence of complications in the control group[13.04％(6/46)].Conclusions For patients with severed fingers with skin defects,the lateral finger flap and mini free vein flap are effective methods for replantation.In clinical practice,reasonable skin flap repair methods can be flexibly selected based on the patient's actual situation.
关键词
外科皮瓣/再植术/指损伤Key words
Surgical flaps/Replantation/Finger injuries引用本文复制引用
出版年
2024
NETL
NSTL
万方数据